# DESI FARREN C.A.C. & ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Recovery Center of Northern Virginia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629348099
- **Authorized official:** DESI FARREN C.A.C. (DIRECTOR)
- **Authorized official phone:** (703) 464-5122

## Contact information

- **Practice address:** 425 CARLISLE DR STE B, HERNDON, VA 20170-5618
- **Practice address phone:** (703) 464-5122
- **Practice address fax:** (703) 464-5822
- **Mailing address:** 425 CARLISLE DR STE B, HERNDON, VA 20170-5618
- **Mailing address phone:** (703) 464-5122
- **Mailing address fax:** (703) 464-5822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 356 | VA | Yes |

## Other

- **Enumeration date:** 01/03/2012
- **Last updated:** 06/17/2014